Active NPI
Marvella Alexandria Bowman, PH.D.
- Psychologist
- Raleigh, NC
National Provider Identifier
1295230191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5023
- Practice address
- 831 W Morgan St
Raleigh, NC 27603-1613 - Phone
- (984) 255-6199
- NPI assigned
- Mar 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5023 | NC | Primary |
Addresses
Primary practice location
831 W Morgan St
Raleigh, NC 27603-1613
Mailing address
831 W Morgan St
Raleigh, NC 27603-1613
Phone (984) 255-6199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Kids, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Charlotte, NC
- NPI 1891949707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1295230191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 W MORGAN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031613",
"telephone_number": "984-255-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 W MORGAN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031613",
"telephone_number": "984-255-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "MARVELLA",
"middle_name": "ALEXANDRIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.